Selma Dallas Prevention Collaborative

NPI #1740626928 in Selma, Alabama

Provider Information

NPI Number
1740626928
Entity Type
Organization
Organization Name
Selma Dallas Prevention Collaborative
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
May 15, 2013
Last Updated
May 15, 2013

Practice Location

Address
1 BELL RD
City
Selma
State
Alabama
ZIP Code
36701-6703
Phone
(334) 526-2500

Authorized Official

Name
MR. COLEY C. CHESTNUT SR., MS, MMIN
Title
DIRECTOR
Phone
(334) 526-2500

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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